Healthcare Provider Details

I. General information

NPI: 1912583600
Provider Name (Legal Business Name): ARIELLA M WEINSTOCK M.S., M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 03/20/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 MEDICAL PLACE
GOLDSBORO NC
27531
US

IV. Provider business mailing address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

V. Phone/Fax

Practice location:
  • Phone: 919-722-1802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2024-01010
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: